Information
Various disorders can affect the big toe joint including (but not exhausting);
- Hallux Valgus.
- Hallux Rigidus.
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| Hallux Valgus (Bunions)- A deformity where the 1st metatarsal deviates medially and the Hallux deviates towards the 2nd toe. Females are 9 times more likely to present with the condition than males, 23% of 18-25 year old’s and 35% of over 65’s develop bunions. Not all bunions become painful. Pressure from footwear can cause increasing pain and deformity. In some instances, the joint can develop arthritic change and become painful. | Hallux Rigidus refers to degenerative changes in the big toe joint, which can cause limitation of movement, and a painful swollen joint. This condition affects 1 in 40 individuals over 50 years and is twice as common in females. Hallux rigidus can progress through four stages: one mild to four severe |
Who to refer:
Anyone regardless of age with pain in the big toes joints can be referred if self-management measures have failed.
Who not to refer:
Patients who are undergoing management for this condition with another service.
General advice
- Provide patient leaflet – Big toe joint pain
- Consider pain relief
- If no improvements after following advice for 6 weeks refer or advise patient to self-refer to Podiatry Community Service
For Patients
NHS Lothian Podiatry Patient information leaflet Big toe joint pain (nhslothian.scot)
NHS Lothian Foot and Ankle Orthopaedic Patient Information Leaflets:
